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1022 E. Frontage Rd. Record ID# PR0519099
<br /> 8/24/2020 Program: ER
<br /> Photo 10: The following uniform hazardous waste manifest(018233915JJK) observed with no signed designated copy.
<br /> Form Approved-arae No.2050-0a35
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<br /> UNIFORM HAZ IRUI.
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<br /> 15. GENERATOR'SlOFFERGR'SCERTIFICATION:Ihereb/dedaRtokthemnlenbof Nis wnsgnmenlar ; am ala of aC'mlal�ve+nmenlaV re9rdabons'11 argon sluM+anlsntl la sP�iri
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<br /> DaSignaled Fadlity Owner or Operator:CeNliwUgnol recsVpl of hazardous malehals yWerad by the manilesteeceDl asnded In Item 1 Aa onm Day Year
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<br /> EPA Form 8700-22(Rov 3-05)Previous ediponsare DbSGlete. GENERATOR'S MTIAL.COPY
<br /> JASON GAITAN, EHS Page 10 of 41
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